East Tennessee Collie Club Membership Application

I hereby make application for membership in the East Tennessee Collie Club, Inc (ETCC). I agree to abide by the bylaws of the club and to conscientiously promote the interest in Collies to the best of my ability.

Dues: $10.00 annual fee due on January 1 each year. Juniors under 18 years old = $2.50. Make all checks payable to East TN Collie Club, Inc.
First Name Last Name
Email Address
Street
City State Zip
Phone   Occupation 
Number of Years in Collies    Do you "eye checks"?
Bloodlines of your Collies 
Do you sell puppies for resale?

Are you a Breeder  Exhibitor  Obedience    Other  

If other please specify:
Do you have children interested in Junior Handling?
In what other clubs are you a member?
Experience & Training in dog activities:
In what phase of phases would you volunteer to help in ETCC?
Hobbies other than dogs
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